1.やさしい
How should the nurse count a term newborn's heart rate at rest?
- AFeel the carotid pulse for 30 seconds and multiply by 2
- BRead a finger pulse oximeter for 5 seconds
- CFeel the radial pulse for 15 seconds and multiply by 4
- DListen at the apex with a stethoscope for a full minute
2.やさしい
"Fetal lie" describes:
- AThe part of the fetus that enters the pelvis first
- BThe relation of the fetal long axis to the mother's long axis
- CThe level of the presenting part relative to the ischial spines
- DHow much the fetal head is flexed on the chest
3.やさしい
What causes the let-down (milk ejection) reflex?
- AOxytocin
- BProlactin
- CInsulin
- DHuman placental lactogen
4.ふつう
A woman at 24 weeks says she craves eating ice and clay. What should the nurse assess for?
- AIron deficiency anaemia
- BGestational diabetes
- CPre-eclampsia with severe features
- DThyroid overactivity
5.ふつう
Which factors help start the newborn's first breath?
- AOnly the baby's first cry from hunger
- BOnly the pressure from the obstetrician's hand
- COnly the cutting of the umbilical cord
- DChemical, thermal, mechanical and sensory cues
6.ふつう
Which statement describes the "4 Ts" causes of postpartum haemorrhage?
- ATemperature, tachycardia, tears and time
- BTone, tachycardia, transfusion and tissue
- CTrauma, tension, temperature and thrombosis
- DTone, trauma, tissue and thrombin
7.むずかしい
A woman at 20 weeks presents with painless cervical dilation and bulging membranes, without contractions. She lost a previous pregnancy in the same way. What is the likely diagnosis?
- APlacental abruption
- BCervical insufficiency
- CPlacenta praevia
- DPreterm labour caused by infection
8.むずかしい
分娩中の女性にオキシトシンを投与しています。トレースに遅発一過性徐脈が繰り返し現れるようになりました。看護師が最初にとるべき行動はどれですか?
- A分娩を早めるためにオキシトシンの速度を上げる
- Bオキシトシンの点滴を止める
- C仰向けに寝るのを手伝う
- Dパターンを記録し、30 分後に再評価する
解答
- 1. D · Listen at the apex with a stethoscope for a full minute
- 2. B · The relation of the fetal long axis to the mother's long axis
- 3. A · Oxytocin
- 4. A · Iron deficiency anaemia
- 5. D · Chemical, thermal, mechanical and sensory cues
- 6. D · Tone, trauma, tissue and thrombin
- 7. B · Cervical insufficiency
- 8. B · オキシトシンの点滴を止める
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